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Mild Cognitive Impairment (MCI)MEDIPHENO-HTNCT07672938

Effects of Hydroxytyrosol-Rich Olive Polyphenol Dietary Supplement Combined With Mediterranean Diet Adherence on the Cognitive Health of Patients With Mild Cognitive Impairment

A study testing Low-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement and High-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement in people with Mild Cognitive Impairment (MCI), run by Panhellenic Federation of Alzheimer's Disease and Related Disorders at 1 site in Greece.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Nutrition is an important modifiable risk factor of human cognitive health. Increasing data suggests that certain nutrients or food ingredients, such as plant polyphenols, have the potential to benefit cognitive abilities even in later life. Read more about this study

Who is it for?
Ages 50 to 85 years
Conditions the study is for
Mild Cognitive Impairment (MCI)
What is being tested?
Low-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement and High-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
141 participants
Where
1 siteGreece
Study dates
31 Mar 2025to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • GR-based men and women aged 50 - 85
  • Willingness and ability to conform to the full protocol.
  • Ability to accept and sign the consent form.
  • Presence of a diagnostic classification of Mild Cognitive Impairment according to the National Institute on Aging and Alzheimer's Association (NIA-AA) framework MCI, which corresponds to stage 3 on the pre-dementia range.
  • MoCA score of ≥18 and ≤ 26. Or
  • MMSE (Mini-Mental State Examination) score of ≥26 and ≤ 28.
Show all 10Show fewer
  • No active suicide ideation based on the Columbia-Suicide Severity Rating Scale.
  • Absence of severe depressive symptomatology based on the Geriatric Depression Scale-15.
  • Not using any laxative drugs for at least three days prior to the screening visit.
  • Information about APOE status

Who cannot join

  • Patients with mild, moderate, or severe dementia.
  • Current or recent (within the last 4 weeks) engagement with a strict dietary regime i.e., vegetarian / vegan / ketogenic / paleolithic / high protein / weight loss.
  • Any known issues with blood taking.
  • Any known bleeding disorders.
  • Any known allergy to olives, inability to tolerate gluten or multiple allergies/intolerances that would significantly limit food intake.
  • Average alcohol use of >21 glasses per week for men and >14 glasses per week for women (on average for the last six months).
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  • History of psychiatric illness including intellectual disability, schizophrenia, bipolar disorder, severe, active depression and alcoholism.
  • Neurologic conditions such as vascular dementia, movement disorders, history of conditions such as anaemia and cancer in the last five years, renal or liver failure, malignant tumours, or organ transplant.
  • Coffee consumption greater than 5 cups per day.
  • Body mass index > 35 kg/ m2.
  • Not taking a stable dose of statins for at least 3 months before the recruitment visit. Taking antibiotics in the 1 week preceding the recruitment visit.
  • Pregnancy or lactation.
  • Participation in another clinical trial during the last 30 days prior to the recruitment visit.
  • Subject taking supplements that may affect lipoprotein metabolism, >1 g of fish oil/day, antioxidant supplements, cannabidiol (CBD) oil.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Magda Tsolaki, Professor Emeritus, MD, PhD contact

+30 2310316143

tsolakim1@gmail.com

Greece1 site, 1 recruiting
  • Palliative Care Centre "Panagia Glykofilousa", Greek Association of Alzheimer's Disease and Related Disorders, Plastira 65, Thessaloniki 54250, Greece.

    Thessaloniki, Central Macedonia, 54250

    Magda Tsolaki, Professor Emeritus, MD, PhD, +30 2310316143, tsolakim1@gmail.com

    Recruiting

Other trials in Greece

About this study

Official title: Hydroxytyrosol-Rich Olive Juice Polyphenol and Mediterranean Diet (The MEDIPHENO-HTrial) in Prevention of Cognitive Decline in Community-Dwelling Patients With Mild Cognitive Impairment: A Double-Blind, Placebo-Controlled, 3-Arm, Randomised Controlled Clinical Study

Nutrition is an important modifiable risk factor of human cognitive health. Increasing data suggests that certain nutrients or food ingredients, such as plant polyphenols, have the potential to benefit cognitive abilities even in later life. In terms of polyphenols, Hydroxytyrosol (HT) has gained health benefit claims as a potential preventative antioxidant supplementation of neurodegenerative and amyloid-associated diseases while its pharmacological mechanisms suggest protection against cognitive decline. The primary objective of this study will be to evaluate the effects of HT-rich olive juice polyphenol supplementation alongside MeDi adherence compared with placebo alongside MeDi adherence in the prevention of cognitive decline among patients with Mild Cognitive Impairment associated with AD and non-AD pathology.

Being tested
Low-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement, High-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement, Placebo
Keywords
Dementia Prevention, Phenolic-rich Nutritional Intervention, Hydroxytyrosol, Mediterranean Diet, Neurodegenerative Biomarkers, Public Health, Clinical Trial
Medical subject headings
Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Low-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol SupplementDietary supplement

    This is a prospective, randomised, double-blind, three-arm, placebo-controlled with 1:1:1 randomisation and 52-week follow-up trial. The MEDIPHENO-HTrial study will enrol patients within the Mild Cognitive Impairment spectrum related to AD and non-AD type pathologies. Participants will be randomised to receive either 8 drops of the active HT-high phenolic supplement, or 16 drops of the active HT-high phenolic supplement or 8 drops of the matching placebo. The Mediterranean diet adherence support will be delivered identically to all groups to reduce dietary confounding.

  • High-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol SupplementDietary supplement

    This is a prospective, randomised, double-blind, three-arm, placebo-controlled with 1:1:1 randomisation and 52-week follow-up trial. The MEDIPHENO-HTrial study will enrol patients within the Mild Cognitive Impairment spectrum related to AD and non-AD type pathologies. Participants will be randomised to receive either 8 drops of the active HT-high phenolic supplement, or 16 drops of the active HT-high phenolic supplement or 8 drops of the matching placebo. The Mediterranean diet adherence support will be delivered identically to all groups to reduce dietary confounding.

  • PlaceboDietary supplement

    This is a prospective, randomised, double-blind, three-arm, placebo-controlled with 1:1:1 randomisation and 52-week follow-up trial. The MEDIPHENO-HTrial study will enrol patients within the Mild Cognitive Impairment spectrum related to AD and non-AD type pathologies. Participants will be randomised to receive either 8 drops of the active HT-high phenolic supplement, or 16 drops of the active HT-high phenolic supplement or 8 drops of the matching placebo. The Mediterranean diet adherence support will be delivered identically to all groups to reduce dietary confounding.

Study groups in NCT07672938
Study groupRoleWhat they receive
Active Arm - Low DoseActive comparatorLow dose: 8 drops (20mg of polyphenols) + Mediterranean Diet instructions
Receives: Dietary Supplement: Low-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement
Experimental Arm - High DoseExperimentalHigh dose: 16 drops (40mg of polyphenols) + Mediterranean Diet instructions
Receives: Dietary Supplement: High-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement
Placebo Comparator ArmPlacebo comparatorPlacebo 8 drops + Mediterranean Diet instructions
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary: Mean change on the Alzheimer's Disease (AD) Assessment Scale-Cognitive Subscale (ADAS-Cog) total score from baseline to Week 52 compared with placebo

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on the cognitive performance of patients with MCI as measured by ADAS-Cog. ADAS-Cog ranges from 0-85 by summing the number of errors made on each task, so that higher scores indicate worse performance.

    Measured: From baseline to Week 52

Secondary outcomes (11)
  1. Key secondary: Mean change on the Montreal Cognitive Assessment Test (MoCA) total score from baseline to Week 52 compared with placebo

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on the cognitive performance of patients with MCI as measured by MoCA. The total possible score for the test is 30 points by summing the number of correct responses given in each task, so higher scores indicate better performance.

    Measured: From baseline to Week 52

  2. - Mean change on Clinical Dementia Rating - Sum of boxes (CDR-SB) from baseline to Week 52 compared with placebo

    • The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on the CDR-SB, which ranges from 0 to 18, and is calculated by summing the ratings across each of the six domains (memory, orientation, judgment and problem-solving, community affairs, home and hobbies, and personal care), with higher scores indicating greater impairment.

    Measured: From baseline to Week 52

  3. Mean change on Mini-Mental State Examination (MMSE) from baseline to Week 52 compared with placebo

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on the MMSE, which is a 30-point brief screening measure of cognitive status. Higher scores indicate better performance.

    Measured: From baseline to Week 52

  4. - Mean change on Geriatric Depression Scale-15 (GDS-15) from baseline to Week 52 compared with placebo.

    • The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on GDS-15, which consists of 15 items and is used to screen for depression in adults. GDS-15 assess mental health based on feelings over the past week, with higher scores on the measure denoting more severe levels of depressive symptoms.

    Measured: From baseline to Week 52

  5. - Mean change on Short Anxiety Screening Test (SAST-10) from baseline to Week 52 compared with placebo

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on SAST-10, which is a brief questionnaire designed to assess anxiety. SAST-10 scores range from 10 to 40, with higher scores on the measure denoting more severe levels of anxiety symptoms.

    Measured: From baseline to Week 52

  6. - Mean change on Functional Rating Scale of Symptoms of Dementia (FRSSD) from baseline to Week 52 compared with placebo.

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on FRSSD. The scale ranges from 0 (fully independent) to 42 (fully dependent), with lower scores indicating better daily functioning.

    Measured: From baseline to Week 52

  7. - Mean change on Alzheimer's Disease Cooperative Study - Activities of Daily Living Scale for use in Mild Cognitive Impairment (ADCS-MCI-ADL) from baseline to Week 52 compared with placebo.

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on ADCS-MCI-ADL, which is a brief questionnaire designed to capture functional abilities (with recall "In the past 4 weeks"). The 18-item ADCS-ADL-MCI is scored from 0 to 53 based on the subject's degree of independence in performing specific tasks. Lower scores on the measure denote more substantial impairment.

    Measured: From baseline to Week 52.

  8. - Mean change on Quality of life in Alzheimer's disease (QoL-AD) from baseline to Week 52 compared with placebo.

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on QoL-AD, which is a brief 13-item questionnaire designed to assess quality of life. QoL-AD range from 13 to 52, with higher scores indicating better quality of life.

    Measured: From baseline to Week 52.

  9. - Mean change on - Pittsburgh Sleep Quality Index (PSQI) from baseline to Week 52 compared with placebo.

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on PSQI, which is a questionnaire designed to assess Sleep quality. PSQI range from 0 to 21, with higher scores indicating poor sleep.

    Measured: From baseline to Week 52.

  10. - Mean change in LDL-C mg/dL cholesterol from baseline to Week 52 compared with placebo.

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on LDL-C mg/dL cholesterol.

    Measured: From baseline to Week 52

  11. - Mean change in HDL-C mg/dL cholesterol from baseline to Week 52 compared with placebo.

    The effects of Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement compared with placebo on HDL-C mg/dL cholesterol.

    Measured: From baseline to Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2026
  2. Study start31 Mar 2025
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
141 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07672938
Sponsor's protocol ID
107/12-3-2025
Acronym
MEDIPHENO-HT
Status last verified
Jun 2026
First submitted
17 Jun 2026
Last updated
30 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Low-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement and High-Dose Hydroxytyrosol-Rich Olive Juice Polyphenol Supplement in people with Mild Cognitive Impairment (MCI), run by Panhellenic Federation of Alzheimer's Disease and Related Disorders at 1 site in Greece.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Greece. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Magda Tsolaki, Professor Emeritus, MD, PhD (+30 2310316143, tsolakim1@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary: Mean change on the Alzheimer's Disease (AD) Assessment Scale-Cognitive Subscale (ADAS-Cog) total score from baseline to Week 52 compared with placebo (time frame: From baseline to Week 52). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jun 2026.

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